Individual provider Active NPI

Kelly Ann Verbeke Hartman, LCSW

  • Clinical Social Worker
  • Crown Point, IN
National Provider Identifier
1174659361
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004953A Issued in IN
Practice address
2037 Marlinspike CT
Crown Point, IN 46307-9329
Phone
(219) 313-9442
NPI assigned
Feb 24, 2007
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34004953A IN Primary

Addresses

Primary practice location

2037 Marlinspike CT
Crown Point, IN 46307-9329

Mailing address

2037 Marlinspike CT
Crown Point, IN 46307-9329
Phone (219) 313-9442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251212001666 IN Practitioner - Clinical Social Worker 0840784237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

326 E US Hwy 30
Schererville, IN 46375-2654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004953AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pillars of Wellness CurrentSince Nov 25, 2025 Accepting new patients

Locations

244 E 90th Dr
Merrillville, IN 46410
Phone (219) 323-3311

326 E US Highway 30
Schererville, IN 46375
Phone (219) 323-3311

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1174659361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 MARLINSPIKE CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079329",
            "telephone_number": "219-313-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 MARLINSPIKE CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079329",
            "telephone_number": "219-313-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "KELLY",
        "middle_name": "ANN VERBEKE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004953A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.